Leonard Nursing Home and Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEONARD NURSING HOME AND REHABILITATION LLC

Doing business as

Leonard Manor

Practice address

902 E Hackberry St
Leonard, TX 75452-6318

Phone

(903) 587-2282

Fax

(903) 587-2594

NPI assigned

Jul 27, 2015

Last updated

Jun 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael G Wallace

Title

Ceo

Phone

(214) 422-1622

Specialties & licenses 1

Addresses

Other names 1

• Leonard Manor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1629453196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EAGLE DR",
            "address_2": "SUITE 201",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016898",
            "telephone_number": "940-228-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E HACKBERRY ST",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754526318",
            "telephone_number": "903-587-2282",
            "fax_number": "903-587-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD NURSING HOME AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-422-1622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonard Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melvin Alvin Krueger X
• Leonard Family Chiropractic
• Leonard Family Dentistry
• Leonard Manor Inc (Legacy Living Centers)
• Leonard Manor Nursing and Rehabilitation, LP
• Brandi Renee Martin
• Rebecca Miller, CRNFA
• Nathan English Parks, RN, MSN, FNP-C
• Professional Counseling Services of Netx
• R Miller Assisting

• Skilled Nursing Facility in Leonard, TX
• Providers in Leonard, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.